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A set of practice questions and answers for the qma (qualified medication aide) certification exam. It covers various aspects of medication administration, resident care, and safety protocols. The questions are designed to assess knowledge of medication errors, resident rights, communication skills, infection control, and emergency procedures. This resource can be valuable for individuals preparing for the qma exam.
Typology: Exams
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The Qma is PROHIBITED from performing what tasks - ANS: a. assessing the residents condition b. calling the physician c. administering a medication per nasogastric tube d. administering a medication by injection What are some of the QMA scope of practice - ANS: a. observe and report to the facility licensed nurse reactions and side effects to a medication exhibited by a resident b. initiate oxygen per nasal cannula or non-sealing mask only in an emergency c. count and administer and document controlled substances Assault and Battery is defined as - ANS: The threat to use force against another person and the carrying out of the force. A QMA would be considered negligent if he/she - ANS: Fails to inform the licensed nurse of medication error If a QMA makes a medication error what are some of the following actions that should take place - ANS: a. Report to the licensed nurse b. Observed the resident for undesirable effects c. Document the medication error d. Truthfully report the error Residents Rights include what? - ANS: a. The right to voice grievances b. The right to refuse treatment and be informed of the consequences c. The right to be free from abuse The Four Elements of successful communication include what? - ANS: a. Formulating the message
b. Sending the message c. receiving the message d. observing the feedback Verbal Communication is - ANS: Spoken and Written words General interventions in response to any difficult behavior include: - ANS: Remaining Calm and Attempting to distract or redirect the resident Severe head trauma, stroke and brain disease can all cause - ANS: Permanent Cognitive impairment Increased confusion and restlessness in late afternoon, evening and night are symptoms of? - ANS: Sundowning When interacting with an anxious resident you should - ANS: Provide a quiet calm environment away from groups of people and activity When interacting with a combative resident you should - ANS: Remain Calm and in control Infection can be transmitted by - ANS: a. Air b. Contaminated soil and water c. Objects d. Insects Standard Precautions include what? - ANS: a. Wearing gloves when indicated for resident care b. wearing a gown, apron, mask and protective eyewear when splashing or contamination may occur c. washing hands at appropriate times A contagious disease of the liver caused by a virus and spread by exposure to infected blood, sexual contact or fecal/oral contact is called? - ANS: Hepatitis
A nosocomial infection is - ANS: an infection acquired while in a health care facility In a fire emergency you should first - ANS: Remove the resident from the immediate area of the fire to a place of safety If a resident is chocking and a complete blockage of airway is present you should first - ANS: Use the Heimlich Maneuver If a resident falls you should first - ANS: Call for help Immediately When vital parts of the body (brain, heart, and lungs) do not get enough blood and the resident has a rapid heart beat, pallor, perspiration, light headedness, chills, fainting, low blood pressure, and confused this is called - ANS: Shock If a resident heart function and circulation stop and the resident is unresponsive there is no chest movement or pulse, pupils are dilated and fixed, and skin is cyanotic the resident might be experiencing
The most common complications associated with terminal illness include - ANS: a. Sleeping b. Lack of Appetite c. Nausea and Vomiting d. Stomatitis The study of Medications is called - ANS: Pharmacology What is true about pain? - ANS: We adapt to our discomforts. leading to periods of very minimal signs of discomfort. Lack of pain expression foes not mean lack of pain Something that serves to relieve or alleviate symptoms, but is not a cure is called - ANS: Palliative The systemic effect - ANS: affects the entire body Factors the influence medication actions include - ANS: a. dosage strength b. presence of food in the stomach c. disease state of the resident An adverse effect is defined as - ANS: an undesired side effect of toxicity Most medications are metabolized in the - ANS: liver Rationale for administration of medications include - ANS: a. cure illness/treat disease b. relieve symptoms c. prevent illness d. aid in the diagnosis of illness Legend Medications are - ANS: Medications that can be only obtained with a prescription filled by a licensed pharmacist
Factors related to aging which may influence medication effectiveness include - ANS: a. decrease in lung capacity b. loss of muscle size c. Increase in body fat Which route is the slowest to absorb - ANS: Oral What can a Qma not do - ANS: Receive orders from the physician The process by which a substance is changed into a form that is more easily excreted by the body is - ANS: Metabolism Can a Qma inject a medication - ANS: No, Licensed nurse or physician only The shorter the half life of a medication the - ANS: More often a medication must be given to maintain a constant action What is utilized to start a newly ordered medication that needs to be administered immediately or in the event of a currently ordered medication is out of supply - ANS: Emergency Drug Kit (EDK) The label of a medication container should include all of the following except - ANS: name of the nursing facility Only authorized personnel may have access to the medication room unattended which includes - ANS: Licensed Nurse and QMA Each pharmacist and physician has a special number which allows close monitoring by what agency of all controlled medications prescribed - ANS: The Drug Enforcement Agency (DEA) When administering medications from a medication cart you should - ANS: Lock the cart when not attended or within visual range
Schedule I, II, III, IV medications must be counted - ANS: a. at the beginning or the shift b. By two licensed nurses or one licensed nurse and one QMA Should a QMA discover the medication count is wrong or that pills are missing he/she should do what? - ANS: Immediately notify the nurse for further investigation Controlled Substances are medications classified under laws and have how many classifications - ANS: 5 (IV) What is required before any member of the health care team can administer a medication - ANS: Physician's order If a physicians gives a nurse a medication order by telephone, he/she must sign the order - ANS: On his/hers next visit to the facility Verbal or telephone orders from the physician may be taken by who? - ANS: Licensed Nurse or Pharmacist If a medication order is unclear the QMA should: - ANS: a. Question any medication order he/she is not comfortable following b. Ask a licensed nurse in the facility to clarify before administering the medication Orders that are received from the physicians to be carried out immediately are called - ANS: STAT orders Medications given as needed are called - ANS: PRN orders If there is a discrepancy between the dosage on the pharmacy label and the MAR the QMA should - ANS: Notify the licensed nurse How many medication rights are there - ANS: 6 Rights
A system of measurement that is less precise than the is called the - ANS: Household System An old english system of measure brought to america by the colonists is called the - ANS: Apothecary System The Grain and Dram are units of measure from which system of measurements - ANS: Apothecary System The Drop and teaspoon are units of measures from which of the systems - ANS: Household System Which system of measurement is most accurate and precise for drug administration? - ANS: Metric A medication ordered qd should be given - ANS: same time daily Medications used to treat and prevent nausea and vomiting are called - ANS: Antiemetics The organ located in the upper left of the abdomen, below the diaphragm is the - ANS: Stomach Bulk-producing laxatives must be given with sifficient - ANS: Fluids The function of the alimentary canal is to - ANS: provide a passageway for foods Depending on the type and amount, food remains in the stomach on an average of how many hours - ANS: 3-5hrs What aids in absorption of fat - ANS: Bile What is NOT change in the digestive system due to aging - ANS: Diarrhea
Constipation is caused by - ANS: inactivity When administering antacids you should monitor the resident for - ANS: amount and consistency of stools An irritation causing a sore in the lining of the stomach or duodenum is called an - ANS: Ulcer What is a Amphojel - ANS: Antacid What is Milk of Magnesia - ANS: Saline Laxative What is a Pepcid - ANS: Anti-Ulcer What is a Phenergan - ANS: Antiemetic What is Syrup of Ipecac - ANS: Emetic What is a Paregoric - ANS: Opiate What is a Senokot - ANS: Cathartic What is a Citrucel - ANS: Bulk-Laxative smooth muscle - ANS: a. Surrounds, or is part of the internal organs b. is an involuntary muscle The soft part of the bone where the red blood cells are manufactured is called the - ANS: bone marrow
A condition characterized by loss of bone density causing bones to become more brittle and easily fractured is called - ANS: Osteoporosis Effects of the aging process on the Musculoskeletal System include - ANS: a. increased adipose tissue b. decreased collagen formation and muscle mass c. decreased in height A sudden and violent tightening of a muscle is called - ANS: muscle spasm Medications used to decrease inflammation, treat arthritis, dermatitis and chronic respiratory conditions are classified as - ANS: anti-inflammatory A resident receiving steroid medication should be observed for - ANS: a. signs of infection b. change in urine glucose or fasting blood sugar c. withdrawal symptoms if stopped abruptly Observing the resident for nonverbal signs of musculoskeletal pain would include which of the following
What is Flexeril - ANS: Muscle Relaxant What is Demerol - ANS: Analgesic A contagious skin condition by mites that burrow under the skin is called - ANS: Scabies A contagious infestation of the hair and body caused by lice is called - ANS: Pediculosis Continuous pressure on body areas causes - ANS: Decubitus Ulcers When applying local anti-infectives, you must wear - ANS: Gloves A change in the skin evident with aging is that it - ANS: tears easily An example of an anti-inflammatory steroid is - ANS: Cordon Debridement medications can be applied by - ANS: Licensed personal only An inflammation of the mucous membrane of the eye is called - ANS: Conjunctivitis An obstruction or the over production of fluid in the eye which results in increased pressure within the eye is called - ANS: Glaucoma The medications used to treat glaucoma - ANS: decrease intraocular pressure A chronic disturbance of the inner ear is called - ANS: Meniere's Disease Medications used to treat glaucoma are called - ANS: Miotics
Where should miotics be placed when administered - ANS: Inside the lower eyelid Cortisporin Otic would be used to treat - ANS: otitis media Ear wax control agents should not be used if the ear is - ANS: Draining The inability to empty the bladder is a symptom of - ANS: Urinary Rentention An example of a diuretic is - ANS: Aldactone When administering diuretics, the resident must be observed for symptoms of - ANS: Decreased Potassium levels All blood passes - ANS: Kidneys An inflammation of the urinary bladder is called - ANS: Cystitis A resident in the dorsal recumbent position is lying - ANS: On the back with legs apart, knees bent, soles of feet flat on bed, and head slightly elevated The position in which the head of the resident's bed is elevated 45-60 degrees is - ANS: Fowler's The position in which the resident is lying flat on the back with legs straight and arms resting at the sides is called - ANS: Supine Where would the thermometer be placed to measure the axillary temperature - ANS: In the Residents armpit Which of the following temperatures should be reported to the nurse - ANS: 101 degrees Fahrenheit
The pulse taken at the inner part of the wrist is called the - ANS: radial pulse Normal respiratory rates for an adult is - ANS: 12-16 breaths per minute Blood Pressure is normally measured at the - ANS: brachial artery Pressing too heavily on a residents wrist measuring pulse will - ANS: Make a weak pulse difficult to feel One change in the nervous system as a result of aging is the appearance of - ANS: Tangles that affect memory Ritalin is an - ANS: Cerebral Stimulant A disease caused by an infection of nerve or brain cells is - ANS: Guillain-Barre Syndrome Depakote is a - ANS: Anticonvulsants Which if the following would you give to relieve the symptoms of Parkinson's Disease - ANS: Sinemet Low iron in the blood due to the inability of the stomach lining to absorb vitamin B is the cause of what condition - ANS: Iron Deficiency anemia An Adverse effect of broncospasms is associated with which of the following - ANS: B A mild form of epileptic attack with the absence of seizures is called - ANS: Petit Mal Which of the following is used to treat Meniere's Disease - ANS: Nicotinic Acid Hypokalemia may be treated by eating - ANS: Bananas
Which of the following nutrients build and repair body tissues - ANS: Proteins Which of the following may be given to treat burns - ANS: C Which of the following is given in combination with INH therapy - ANS: B Which medication classification depresses abnormal neuronal discharges in the central nervous system - ANS: Anticonvulsant The QMA must do what when administering medications - ANS: Wash his/her hands or utilize alcohol foam/gel before and after administering medication to the resident and as needed when caring for a resident and direct contact is made If a medication is ordered to be give a.c. you should give the medication - ANS: Before Meals A manner of staff response to a residents comment by which the staff allows the resident to remain in his.her belief without attempting to reorient the resident to the present is called - ANS: Validation Therapy What Medicine treats Alzheimers Disease - ANS: Aricept Medications utilized to treat Alzheimers or other dementia - ANS: Are not a cure, rather relieve symptoms Symptoms of Alzheimers disease include - ANS: a. gradual loss of memory b. problems with reasoning or judgement c. disorientation The cause of Alzheimers Disease is - ANS: unknown
Contents of the medical chart should include - ANS: a. information or data base b. identification of problems c. plans of care of the resident d. progress note The resident chart is a - ANS: Legal document When you make an error charting you should - ANS: Draw a line through the error, write "error" above it and initial If you discover omission of a dose of medication you should - ANS: report the omission to the licensed nurse Common reasons for medication errors in a facility include - ANS: a. Lack of knowledge in administration of medication b. inadequate communication c. improper transcription of medication orders e. making assumptions Medication carts must be what at all times - ANS: locked How many times should you check a medication before you give it? - ANS: 3 The vessels that carry blood away from the heart are called - ANS: arteries what type of cells fights infections - ANS: white blood cell a lack of adequate oxygen supply to the heart causes - ANS: myocardial ischemia Edema in the feet and legs is a symptoms of - ANS: Congestive heart failure
A build of plaque deposits in the blood vessels is called - ANS: Arteriosclerosis Before administering cardiotonic drugs you must - ANS: Obtain pulse Hypertension means - ANS: high systolic and diastolic pressure Inderal is given for - ANS: arrhythmias Which of the following would be given to treat hypertension - ANS: Aldomet The actions of diuretics are - ANS: Decrease blood pressure Increase urinary output Residents taking antihypertensives must have their _____ checked each week: - ANS: Blood Pressure Anticoagulants are used to treat - ANS: Thrombophlebitis An adverse effects of administering anticoagulants is - ANS: increased bleeding Symptoms of pulmonary emphysema include what - ANS: a. barrel chest b. pursed lip breathing c. cyanosis of extremities What are used to treat allergic reactions - ANS: Antihistamines Residents who have chronic lung disease should have oxygen administered at - ANS: Lower liter flows What depresses cough - ANS: Antitussives
The average respiratory rate for an adult is - ANS: 12-16 per minute The function of the respiratory system is to - ANS: bring in oxygen and removes carbon dioxide Dimetapp is an example of - ANS: antihistamine Actifed is an example of: - ANS: combination drug Rifadin is an example of: - ANS: TB medication Sinutab is an example of - ANS: Combination product Proventil is an example of: - ANS: Bronchodilator Codeine is an example of - ANS: Antitussive Symptoms of hypoglycemia include - ANS: a. Drowsiness b. Perspiration c. pallor master endocrine gland - ANS: pituitary gland The islets of Langerhans produce and secrete what hormone - ANS: Insulin Partial of complete failure of the islets of Langerhans to produce insulin causes: - ANS: Diabetes Ketostix are used for - ANS: Test Urine for Ketones
Diabetics need to be monitered for - ANS: Diet Intake One adverse affects of a thyroid hormone is - ANS: Chest Pain If the resident breath smells fruity you should suspect - ANS: hyperglycemia Underproduction of the hormone thyroxin that results in decreased metabolic rate is called - ANS: Hypothyroidism Effects of the aging process on the endocrine system include: - ANS: a. Tendency towards diabetes b. Water Retention c. Slower Metabolism Deltasone is an example of: - ANS: adrenal cortical steroid An adverse effect of adrenal cortical steroids include - ANS: a. Moon Face b. Night Sweats c. Hair Loss D. Thin, shiny skin benign prostatic hyperplasia (BPH) - ANS: enlargement of the prostate gland The hormone responsible for male secondary sex characteristics is - ANS: Androgen The hormone responsible for the female sex characteristics is - ANS: Estrogen Menopause usually occurs between ages of - ANS: 45- Premarin is an example of - ANS: Female Replacement Hormone
Depotest if an example of - ANS: Male Replacement Hormone Effects of the aging process on the male reproductive system can cause - ANS: a. reduced testosterone production b. decreased in sperm production c. prostate enlargement Immunity acquired by having a disease is called - ANS: active immunity Immunity acquired by passing antibodies from a mothers bloodstream to a baby blood stream is called - ANS: passive immunity AIDS is transmitted by - ANS: 1. Sexual intercourse
Medications that kill or slow the growth of cancer cells are called - ANS: Antineoplastic Functional disorders of the mind or emotions without obvious organic lesions or change - ANS: Neurosis What is Elavil used for - ANS: depression A major mental disorder in which ones personality is deranged; causing a loss of contact with reality is called - ANS: Psychosis What is Xanax - ANS: Anxiolytic (anti-anxiety) When giving a prn antipsychotic medication you should first - ANS: attempt other interventions and report to the licensed nurse if the interventions are not successful Psychoactive medications must be - ANS: carefully monitored and reductions in dose should occur as possible What medications are used to treat manic depressive disorder - ANS: Depakote and Lithium